A Study of Endoscopic Endonasal Dacrocystorhinostomy With Mucosal Flap Technique

Abstract

 In addition, very less and minor intra-operative and post-operative complications were encountered with successful creation of a stable low resistance, well-mucosalised alternate drainage pathway in most of the patients.  Good anatomical knowledge of intranasal structures and endoscopic skills are necessary to allow accurate preservation of mucosa and creation of a wide rhinostomy by drilling.  The procedure originally described by Dr. P. J. Wormald, achieves healing by primary intention due to approximation of lacrimal flaps with adjacent nasal mucosa making this procedure very similar to external dacryocystorhinostomy.

Comparison of Surgical Outcome of Endoscopic Dacryocystorhinostomy With or Without Flap

“…Tsirbas and Wormald 19 performed 104 endoscopic DCR with mucosal flap preservation and the surgery was successful in 93 cases (89%) which is a similar to ours in group B (with mucosal flap) 90.9% (10/11). Telang et al 29 found that preservation of lacrimal sac and nasal mucosa leads to marsupialization of lacrimal sac onto the lateral nasal wall with success rate of 96%. Gurdeep et al 30 in their study of powered endoscopic DCR with mucosal flaps achieved a success rate of 91.66%.…”